MEDICARE: CAYLA KURLAND SPEECH-LANGUAGE PATHOLOGY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0700X	Hearing and Speech Clinic/Center

General Provider Information

NPI Number	:	1518505155
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAYLA KURLAND SPEECH-LANGUAGE PATHOLOGY, INC.

Provider Business Mailing Address
First Line	:	3685 MOTOR AVE STE 120
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-5745
Country	:	US
Telephone Number	:	424-603-4055
Fax Number	:	424-603-4110

Provider Business Practice Location Address
First Line	:	3685 MOTOR AVE STE 120
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-5745
Country	:	US
Telephone Number	:	424-603-4055
Fax Number	:	424-603-4110

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	CAYLA L KURLAND
Credential	:	MA, CCC-SLP
Telephone Number	:	617-513-6515

Provider Enumeration Date	:	12/13/2019
Last Update Date	:	11/01/2023

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